The clinical impact of MRI-based vertebral bone quality score for assessment of bone quality.

IF 2.6 3区医学 Q2 CLINICAL NEUROLOGY

European Spine Journal Pub Date : 2025-07-01 DOI:10.1007/s00586-025-09096-1

Xingxiao Pu, Tian Tian, Xuejun Dai, Daxing Wang, Weiping Xiao, Shao Gu, Chengwei Liu, Bailian Liu, Pengde Kang, Haifeng Li

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引用次数: 0

Abstract

Purpose: The purpose of this search was to evaluate the clinical significance of the MRI-based vertebral bone quality (VBQ) score for assessment of bone quality.

Methods: We searched all published articles regarding the clinical impact of VBQ score in Embase, Cochrane library, and PubMed before June 1st, 2023.

Results: The calculational method of VBQ has gradually been standardized. The association between the VBQ score and bone mineral density (BMD) is well established, and the VBQ score is verified to assess the bone condition. The quantitative computed tomography (QCT) BMD as the gold standard to determine the diagnostic threshold of the VBQ score is recommended. Moreover, the VBQ score is a good predictor for some osteoporosis-related postoperative complications. However, there are still some influential factors for the VBQ score that have not fully understood.

Conclusion: VBQ score is a simple and reproducible method to assess bone quality that can be achieved on the lumbar MRI. Preoperative VBQ score can predict some osteoporosis-related postoperative complications precisely. However, the diagnostic threshold value VBQ score and the effect of influential factors on the VBQ score may need to be further explored in the future.

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mri椎体骨质量评分对骨质量评价的临床影响。

目的：本研究的目的是评估基于mri的椎体骨质量（VBQ）评分对骨质量评估的临床意义。方法：检索Embase、Cochrane图书馆和PubMed在2023年6月1日前发表的所有有关VBQ评分临床影响的文章。结果：VBQ的计算方法已逐步标准化。VBQ评分与骨密度（BMD）之间的关系已得到很好的确立，并且可以通过VBQ评分来评估骨骼状况。建议将定量计算机断层扫描（QCT） BMD作为确定VBQ评分诊断阈值的金标准。此外，VBQ评分是一些骨质疏松相关术后并发症的良好预测指标。然而，仍有一些影响VBQ得分的因素尚未完全了解。结论：VBQ评分是一种简单、可重复的评价腰椎MRI骨质量的方法。术前VBQ评分可准确预测骨质疏松术后并发症。然而，诊断阈值和影响因素对VBQ评分的影响可能需要在未来进一步探索。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Spine Journal 医学-临床神经学

CiteScore

4.80

自引率

10.70%

发文量

373

审稿时长

2-4 weeks

期刊介绍： "European Spine Journal" is a publication founded in response to the increasing trend toward specialization in spinal surgery and spinal pathology in general. The Journal is devoted to all spine related disciplines, including functional and surgical anatomy of the spine, biomechanics and pathophysiology, diagnostic procedures, and neurology, surgery and outcomes. The aim of "European Spine Journal" is to support the further development of highly innovative spine treatments including but not restricted to surgery and to provide an integrated and balanced view of diagnostic, research and treatment procedures as well as outcomes that will enhance effective collaboration among specialists worldwide. The “European Spine Journal” also participates in education by means of videos, interactive meetings and the endorsement of educative efforts. Official publication of EUROSPINE, The Spine Society of Europe